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06/08/2004 11:46 3036849893 LONGMONT USDA PAGE 01/01 <br />uun-w-tuua iI:oUAM FROId-WETLAND NC 3034300063 i-233 P.O10/010 F-B09 <br />r <br />L <br />State of Colorado <br />County of Boulder <br />AFFIDAVIT OF RECEIPT <br />BEFORE ME, a repnesentativ® of the Boulder Valley Soil Consenratlon District, <br />~ 2 <br />on this ^ day of , 20 O ,Did receive <br />a fax copy 4f "Notice of Filing Application for Colorado Mined Land Reciametiort <br />Permit," and attached copy of application form for File Pk 112. <br /> <br />sgpaH.re <br />/U/L!I c ~/ ~ `~i~ f R~ <br />ame ( 'tad) <br />I • <br />